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Individual
GREGORY R HANSON
Active
Individual
GREGORY R HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
49996
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601125100
—
MN
01
—
P00436573
RR MEDICARE
MN
Enumeration date
08/22/2006
Last updated
09/10/2013
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